| Wakemed Specialists Group, Llc | |
|
3024 New Bern Ave Raleigh NC 27610-1247 | |
| (919) 350-7859 | |
| (919) 350-7204 |
| Full Name | Wakemed Specialists Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3024 New Bern Ave, Raleigh, North Carolina |
| Authorized Official Name and Position | Maria Jayoussi (EXECUTIVE DIRECTOR OF FINANCE) |
| Authorized Official Contact | 9193506089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wakemed Specialists Group, Llc 2920 Highwoods Blvd Raleigh NC 27604-0010 Ph: (919) 350-0552 | Wakemed Specialists Group, Llc 3024 New Bern Ave Raleigh NC 27610-1247 Ph: (919) 350-7859 |
| NPI Number | 1649835836 |
|---|---|
| Provider Enumeration Date | 05/03/2019 |
| Last Update Date | 05/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649835836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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